Mental Health Benefits
Adequate mental health benefits are a fiduciary responsibility and growing legal risk for employer health plans.
Category: Litigation
Court decisions, legal challenges, and litigation developments affecting employer health plans, fiduciaries, and healthcare intermediaries.
Mastering Health Plan Contracts
Mastering Health Plan Contracts Are Your Contracts Hurting Your Plan? Many employers assume their health plan contracts are well drafted. In reality they are often one-sided…
Direct Contracting
Direct Contracting Game-Changer for Cost and Convenience Employers must find new ways to deliver high-quality, cost effective care. One strategy gaining traction is Direct Contracting. Employers…
Managing PBM Costs and Risks
Managing PBM Costs and Risks Key Issues for Plan Sponsors Pharmacy Benefit Managers (PBMs) claim to lower drug costs but often raise them with hidden pricing…
Health Plan Management Risks
Health Plan Management Risks Compliance Failure, Litigation, & Rising Costs Company health plans, often overlooked by boards, now represent a growing legal and financial risk. Just…
Who Should Lead The Fiduciary Committee?
Who Should Lead The Fiduciary Committee? Strong Leadership Is Essential Fiduciary committee leadership is about balancing compliance, cost management, and employee well-being—all while navigating complex regulations…
10 New Year’s Resolutions
10 New Year's Resolutions For Health Plan Fiduciaries
The Rise of the Fiduciary Committee
The Rise of the Fiduciary Committee First Retirement Plans & Now Health Plans For over two decades, 401(k) plan litigation has transformed retirement plan management due…
Health Plan Fiduciary 101
Health Plan Fiduciary 101 What’s It Mean To Be A Fiduciary? The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law setting minimum…
“Seething Public Discontent”
"Seething Public Discontent" A Catalyst For Action Although this newsletter has been in the works for months, I rewrote the intro to this inaugural issue in…